Prepared by: SayPro Development Competitions OfficeDate: [Insert Date]Version: 1.0
Participant Information
Full Name:
[First Name] [Last Name]
Date of Birth:
[MM/DD/YYYY]
Gender:
[ ] Male
[ ] Female
[ ] Non-Binary
[ ] Prefer not to say
[ ] Other: ________________
Address:
[Street Address]
[City, State, ZIP Code]
[Country]
Phone Number:
[Mobile Number]
[Alternative Number (optional)]
Email Address:
[Email Address]
Emergency Contact Information
Full Name of Emergency Contact:
[First Name] [Last Name]
Relationship to Participant:
[ ] Parent/Guardian
[ ] Friend
[ ] Relative
[ ] Other: ________________
Phone Number of Emergency Contact:
[Phone Number]
[Alternative Phone Number (optional)]
Performance Information
Performance Category (Please select one):
[ ] Music (Instrumental)
[ ] Music (Vocal)
[ ] Dance
[ ] Theater (Drama/Monologue)
[ ] Spoken Word/Poetry
[ ] Comedy
[ ] Other (Please specify): ________________
Performance Title/Theme:
[Title of Performance]
Brief Description of Performance (Maximum 250 words):
[Provide a brief overview of the performance, including the style, song or piece title, and any special elements.]
Duration of Performance:
[ ] 1-2 minutes
[ ] 3-5 minutes
[ ] 6-10 minutes
[ ] Other (Please specify): ________________
Required Materials (Please indicate any equipment or resources needed for your performance):
[ ] Sound System
[ ] Microphone
[ ] Piano/Keyboard
[ ] Stage Props
[ ] Other: ________________
Upload Performance Sample (Optional):
[ ] I will upload a video/audio sample of my performance.
[ ] [Upload File] (Video or Audio file format – .mp4, .mp3, .mov, .avi)
Health & Safety Information (For In-Person Performances)
Do you have any medical conditions or allergies that the event organizers should be aware of?
[ ] Yes
[ ] No
If yes, please specify:
[Details of medical condition/allergy]
Do you require any accommodations for your performance?
[ ] Yes
[ ] No
If yes, please specify:
[Details of accommodations]
Contest Participation Agreement
By signing below, I acknowledge that I have read, understood, and agreed to the following terms and conditions:
- Eligibility: I confirm that I am eligible to participate in the SayPro Quarterly Music and Performing Arts Contest, and I will comply with the contest’s rules and regulations.
- Originality of Work: I certify that my performance is original and does not infringe on any copyright or intellectual property rights of third parties.
- Liability Waiver: I release SayPro and its affiliates from any liability for injury, accident, or loss during the contest event.
- Consent to Recording and Use of Image/Performance: I grant SayPro the right to record, photograph, and use my performance and image for promotional purposes related to the contest and future events.
Participant Signature:
[Signature]
Date:
[MM/DD/YYYY]
Parental Consent (For Participants Under 18)
If the participant is under 18 years old, parental or guardian consent is required.
Parent/Guardian Full Name:
[First Name] [Last Name]
Parent/Guardian Signature:
[Signature]
Date:
[MM/DD/YYYY]
Payment Information (If Applicable)
Contest Registration Fee (if any):
[ ] Yes, I am submitting a payment.
[ ] No, I am submitting a free entry.
Payment Method (If applicable):
[ ] Credit Card
[ ] PayPal
[ ] Bank Transfer
[ ] Other (Please specify): ________________
Payment Confirmation Number (If applicable):
[Payment ID or Reference Number]
Additional Information
How did you hear about the contest?
[ ] Social Media (Facebook, Instagram, Twitter)
[ ] Email Newsletter
[ ] Word of Mouth
[ ] Flyers/Posters
[ ] Other (Please specify): ________________
Would you like to receive updates about future contests and events from SayPro?
[ ] Yes
[ ] No
Submission Instructions
- Please complete and submit this registration form by [Insert Submission Deadline].
- For questions or assistance, please contact the SayPro Competitions Office at [Insert Contact Information].
Thank you for your participation, and we look forward to seeing your incredible performance in the SayPro Quarterly Music and Performing Arts Contest!
End of Registration Form
This template covers all the necessary details for participant registration, ensuring that the event organizers have the relevant personal, performance, and emergency contact information to properly manage contestants and the contest event.